Smaller tidal volumes with room-air are not sufficient to ensure adequate oxygenation during bag-valve-mask ventilation

Resuscitation

Volumn 44, Issue 1, 2000, Pages 37-41

  Dörges, Volker ^a   Ocker, Hartmut ^a   Hagelberg, S önke ^a   Wenzel, Volker ^b   Idris, Ahamed H ^c   Schmucker, Peter ^a  

^a UNIVERSITY OF LÜBECK   (Germany)

^b UNIVERSITY OF INNSBRUCK   (Austria)

^c UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

Author keywords

Apnoea; Cardiac arrest; Cardiopulmonary resuscitation; Oxygenation; Peak airway pressure; Self inflatable bag; Stomach inflation; Tidal volume; Unprotected airway

Indexed keywords

AMBIENT AIR; APNEA; ARTICLE; ASSISTED VENTILATION; BREATHING; BREATHING RATE; HEART ARREST; HUMAN; LUNG INFLATION; OXYGENATION; PEAK EXPIRATORY FLOW; PRIORITY JOURNAL; RESUSCITATION; STOMACH; TIDAL VOLUME;

ADULT; ANIMALS; CHILD; CHILD, PRESCHOOL; EQUIPMENT DESIGN; FEMALE; HUMANS; LARYNGEAL MASKS; LIFE SUPPORT SYSTEMS; MALE; OXYGEN CONSUMPTION; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; SENSITIVITY AND SPECIFICITY; TIDAL VOLUME;

EID: 0034159909     PISSN: 03009572     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0300-9572(99)00161-6     Document Type: Article

References (21)

1. Guideline for cardiopulmonary resuscitation and emergency cardiac care, part II: adult basic life support. J. Am. Med. Assoc. 268:1992;2184-2198.
2. Guidelines for the basic management of the airway and ventilation during CPR. Resuscitation. 31:1996;187-200.
3. Baskett P., Nolan J., Parr M. Tidal volumes which are perceived to be adequate for resuscitation. Resuscitation. 31:1996;231-234.
4. Krischer J.P., Fine E.G., Davis J.H., Nagel E.L. Complications of cardiac resuscitation. Chest. 92:1987;287-291.
5. Wenzel V., Idris A.H., Banner M.J., Kubilis P.S., Williams J.L. Influence of tidal volume on the distribution of gas between the lungs and the stomach in the nonintubated patient receiving positive pressure ventilation. Crit. Care Med. 26:1998;364-368.
6. Wenzel V., Idris A.H. The current status of ventilation strategies during cardiopulmonary resuscitation (CPR). Curr. Opin. Crit. Care. 3:1997;206-213.
7. Ruben H., Knudsen E.J., Carugati G. Gastric inflation in relation to airway pressure. Acta Anaesth. Scand. 5:1961;107-114.
8. Wenzel V., Keller C., Idris A.H., Dörges V., Lindner K.H., Brimacombe J.R. Effects of smaller tidal volumes during basic life support ventilation in patients with respiratory arrest: good ventilation, less risk? Resuscitation. 43:1999;25-29.
9. Dörges V., Sauer C., Ocker H., Wenzel V., Schmucker P. Smaller tidal volumes during cardiopulmonary resuscitation: comparison of adult and paediatric self-inflatable bags with three different ventilatory devices'. Resuscitation. 43:1999;31-37.
10. Begin R., Racine T., Roy J.C. Value of capillary blood gas analyses in the management of acute respiratory distress. Am. Rev. Respir. Dis. 112(6):1975;879-881.
11. Spiro S.G., Dowdeswell I.R. Arterialized ear lobe blood samples for blood gas tensions. Br. J. Dis. Chest. 70(4):1976;263-268.
12. Dick W.F., Brambrink A.M., Kern T. Kardiopulmonale Reanimation `oben ohne'? Anaesthesist. 48:1999;290-300.
13. Safar P., Agusto-Escarraga L. Compliance in anesthetized adults. Anaesthesiology. 20:1959;283-289.
14. Wenzel V., Idris A.H., Lindner K.H. Ventilation with an unprotected airway during cardiac arrest. Vincent J.L. Yearbook of Intensive Care and Emergency Medicine. 1997;483-492 Springer, Berlin, Heidelberg.
15. Wenzel V., Idris A.H., Banner M.J., Kubilis P.S., Band R., Williams J.L. Jr, Lindner K.H. Respiratory system compliance decreases after cardiopulmonary resuscitation and stomach inflation: impact of large and small tidal volumes on calculated peak airway pressure. Resuscitation. 38:1998;113-118.
16. Wenzel V., Idris A.H., Banner M.J., Fuerst R.S., Tucker K.J. The composition of gas given by mouth-to-mouth ventilation during CPR. Chest. 106:1994;1806-1810.
17. Idris AH, Gabrielli A, Caruso L. Smaller tidal volume is safe and effective for bag-valve-mask ventilation, but not for mouth-to-mouth ventilation: an animal model of basic life support ventilation. Circulation 1999;100(Suppl I):I-644/3499 (Abstract).
18. Weiler N., Heinrichs W., Dick W. Assessment of pulmonary mechanics and gastric inflation pressure during mask ventilation. Prehosp. Disaster Med. 10:1995;101-105.
19. Davies K. Jr, Johannigman J.A., Johnson R.C. Jr, Branson R.D. Lung compliance following cardiac arrest. Acad. Emerg. Med. 10:1995;855-856.
20. Bowman F.P., Menegazzi J.J., Check B.D., Duckett T.M. Lower esophageal sphincter pressure during prolonged cardiac arrest and resuscitation. Ann. Emerg. Med. 26:1995;215-219.
21. Doerges V., Sauer C., Ocker H., Wenzel V., Schmucker P. Airway management during cardiopulmonary resuscitation: a comparison of bag-valve-mask, laryngeal mask and combitube. Resuscitation. 41:1999;63-69.